January 5, 2009
Dear Parents,
The 8th grade science department will be taking a fieldtrip to Physic’s Phun Day located at Knott’s Berry Farm in Buena Park.
This is a wonderful opportunity for your student to better understand forces and motion in a fun and exciting way by enjoying Knott’s rides and attractions. The hands on activities cover many of California’s state science standards that your student is learning about this year. If students attend, they will be completing a required handout worth 50 points with several physics questions based on various thrill rides within the park.
This field trip is purely voluntary and it does have a cost (listed below). Those students who do not attend will have physics problems completed in class.
Thank you,
The Physical Science Department
Ms. Collins, Ms. Van Cleave, Mr. Hilke, Mrs. Nguyen
Information:
Location:Knott’s Berry Farm, Buena Park, CA
Date: Friday, February 27th, 2009
Time: Bus Departs Diegueno at 7:45AM and Returns around7:45 PM, check into your 1st period class then meet at the buses, Buses leave Knott’s Berry Farm at 6:15 pm.
Cost: $65.00 donation: includes park entranceand bus transportation.(If not enough money is collected, the trip will be cancelled.)Students will also need to bring extra money for food.
Please make check payable to DieguenoMiddle School and turn in with permission slips to Missy in the office.
Any items brought on the field trip (iPods, cell phones, Game boys, etc.) are the sole responsibility of the student. Diegueno is not responsible for any items lost or stolen.
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Parent Signature Date
______I would like to go and chaperone , phone # ______
Please turn in your permission slips and money by January 23rd to secure a spot. All class work missed must be made up by the student.
If you have any questions, please email or call Ms. Collins at or (760) 944-1892 ext. 6717.
San Dieguito Union High School District Field Trip Permission Form
Name of Student:Activity: Physic’s Phun Day
Activity Date: Friday,February 27th 2009Location: Knott’s Berry Farm Buena Park CA
Departs/Returns: 7:45am -7:45pmTeachers: Collins, Van Cleave, Hilke, Nguyen, Byrnes
Transportation: School Bus Driver: School Bus Employee
I understand and agree that my participation in the activity or trip is not to be used as an excuse for absence other than for the period indicated above. I know that I am responsible for all class work missed. I understand and agree that I remain under the jurisdiction of the school district while participating in this off-campus activity and I will abide by all rules set forth by the faculty, principal, superintendent, or Board of Trustees.
Student Signature ______
ALL TEACHERS MUST GRANT APPROVAL FOR STUDENTTO PARTICIPATE IN TRIP OR Activity.
Per. / Class / Approve / Disapprove / Teacher Signature1
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To Be Completed by Parent/Guardian: I
I, the undersigned, hereby grant permission for my child to participate in the above named activity.
In accordance with Education Code §35330, I, the undersigned, hereby RELEASE, DISCHARGE and HOLD HARMLESS the San Dieguito Union High School District, the Board of Trustees, its officers, employees and agents from all liability, including injury, death, or other damages, occurring in the course of or while traveling to or from the above named activity which my child may suffer or cause another person to suffer arising out of, or in connection with, or resulting from my child's participation in the above named activity.
In case of medical emergency, illness, or injury, the above named teacher or agent of the San Dieguito Union High School District has my express permission to take the above named student to a doctor or medical facility to receive emergency treatment pursuant to the following authorization:
I, the undersigned, parent/guardian of ______, a minor, do hereby authorize the faculty members of the San
DieguitoUnionHighSchool District supervising the activity herein described, as my agent to consent to any X-ray examination, anesthetic,
medical or surgical diagnosis or treatment and hospital care to be rendered to the minor under general or special supervision and upon the advice of a physician and/or surgeon licensed under the provisions of the Medical Practice Act on the medical staff of any licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital. The following health insurance coverage is in effect for my child:
Name of Insurance Carrier: _____Policy/ID #:
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It is understood that this authorization is given in advance of any specific diagnosis, treatment, or hospital care being required, but is given to provide authority and power on the part of our aforesaid agent(s) to give specific consent to any and all such diagnosis, treatment or hospital care which the aforementioned physician, in the exercise of his best judgment, may qeem advisable.
This authorization is given pursuant to the provisions of Section 25.8 of the Civil Code of California. This authorization shall remain in effect until the end of the current school year, unless sooner revoked in writing and delivered to said agent.
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Parent SignatureDate phone #